NGA JETA KASO, BIO KIMISTE, LABORANTE MJEK\u00cbSORE, VITA BIO LINK
Nuk ka konsensus n\u00eb literatur\u00eb n\u00eb lidhje me p\u00ebrkufizimin e vdekshm\u00ebris\u00eb s\u00eb lidhur me anestezin\u00eb. Atribuimi i vdekjes prej anestezis\u00eb \u00ebsht\u00eb i v\u00ebshtir\u00eb dhe shpesh mb\u00ebshtetet n\u00eb interpretimin subjektiv t\u00eb p\u00ebrkufizimeve t\u00eb ndryshme.\u00a0\u00a0Regjistri i arrestit kardiak perioperativ pediatrik t\u00eb Amerik\u00ebs s\u00eb Veriut (POCA) e klasifikon arrestin kardiak si t\u00eb lidhur me anestezi n\u00ebse personeli i anestezis\u00eb ose procesi i anestezis\u00eb ka luajtur t\u00eb pakt\u00ebn nj\u00eb rol (roli mund t\u00eb varioj\u00eb nga i vog\u00ebl n\u00eb i madh) n\u00eb shkakun e arrestit kardiak (pakujdesi e stafit t\u00eb anestezis\u00eb).<\/p>\n\n\n\n
Komiteti i Vdekshm\u00ebris\u00eb s\u00eb Kolegjit t\u00eb Anestezist\u00ebve Australian dhe Zeland\u00ebn e Re e ka klasifikuar vdekshm\u00ebrin\u00eb e lidhur me anestezin\u00eb n\u00eb 3 kategori: kategoria 1:<\/p>\n\n\n\n
p\u00ebrfshin rastet n\u00eb t\u00eb cilat \u00ebsht\u00eb mjaft e sigurt se vdekja \u00ebsht\u00eb shkaktuar nga anestezia ose faktor\u00eb t\u00eb tjer\u00eb n\u00ebn kontrollin e anestezistit.<\/p>\n\n\n\n
Kategoria 2: <\/p>\n\n\n\n
kur ka disa dyshime n\u00ebse vdekja i atribuohet t\u00ebr\u00ebsisht anestezis\u00eb ose faktor\u00ebve t\u00eb tjer\u00eb n\u00ebn kontrollin e anestezistit<\/p>\n\n\n\n
kategoria 3 :<\/p>\n\n\n\n
zbatohet kur vdekja \u00ebsht\u00eb shkaktuar si nga faktor\u00ebt kirurgjikal ashtu edhe nga anestezia (pakujdesia e mjekut dhe anestezistit).<\/p>\n\n\n\n
Ekzistenca e k\u00ebtyre dallimeve tregon se ekziston nj\u00eb nevoj\u00eb urgjente p\u00ebr nj\u00eb konsensus kur p\u00ebrkufizohet “vdekshm\u00ebria e lidhur me anestezin\u00eb” .<\/p>\n\n\n\n
P\u00ebrmir\u00ebsime t\u00eb m\u00ebtejshme do t\u00eb varen nga p\u00ebrpjekjet nd\u00ebrkomb\u00ebtare t\u00eb multispecialitetit p\u00ebr t\u00eb standardizuar terminologjin\u00eb .<\/p>\n\n\n\n
Duke p\u00ebrjashtuar faktor\u00ebt e zbatimit t\u00eb protokolleve standarte prej mjekut dhe anestezistit gjat\u00eb nd\u00ebrhyrjes fakor\u00ebt t\u00eb cil\u00ebt anashkalohen sipas studimeve \u00ebsht\u00eb mosnjohja dhe mos testimi p\u00ebr s\u00ebmundje egzistuese te f\u00ebmij\u00ebt.<\/p>\n\n\n\n
F\u00ebmij\u00ebt me s\u00ebmundje t\u00eb zemr\u00ebs shfaqin shkall\u00eb m\u00eb t\u00eb lart\u00eb t\u00eb arrestit kardiak perioperativ dhe vdekshm\u00ebris\u00eb kur i n\u00ebnshtrohen operacionit kardiak ose jo-kardiak.<\/p>\n\n\n\n
S\u00ebmundjet paraekzistuese, si sepsis, jan\u00eb gjithashtu faktor\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb arrest kardiak perioperativ tek f\u00ebmij\u00ebt.<\/p>\n\n\n\n
Nj\u00eb faktor teknik gjat\u00eb anestezis\u00eb \u00ebsht\u00eb edhe pro\u00e7edura e ventilimit.<\/p>\n\n\n\n
Vdekshm\u00ebria p\u00ebr shkak t\u00eb problemeve t\u00eb ventilimit \u00ebsht\u00eb ulur q\u00eb nga vitet 1990 p\u00ebr shkak t\u00eb monitorimit t\u00eb avancuar t\u00eb frym\u00ebmarrjes dhe futjes s\u00eb pajisjeve t\u00eb rrug\u00ebve t\u00eb frym\u00ebmarrjes me maska \u200b\u200blaringale p\u00ebr t\u00eb sapolindurit dhe f\u00ebmij\u00ebt. Ngjarjet kardiovaskulare i jan\u00eb bashkuar problemeve t\u00eb ventilimit si burimet kryesore t\u00eb rrezikut p\u00ebr makin\u00ebn pediatrike t\u00eb lidhur me anestezin\u00eb.<\/p>\n\n\n\n
Gjat\u00eb periudh\u00ebs s\u00eb fundit, ngjarjet kardiovaskulare (26%) iu bashkuan ngjarjeve t\u00eb frym\u00ebmarrjes (23%) si burimet kryesore t\u00eb p\u00ebrgjegj\u00ebsis\u00eb. Ky trend mund t\u00eb lidhet me rritjen e p\u00ebrdorimit t\u00eb pulsoksimetris\u00eb dhe monitorimit t\u00eb dioksidit t\u00eb karbonit dhe me futjen e sevofluranit.<\/p>\n\n\n\n
…<\/p>\n\n\n\n
Ky material bazuar n\u00eb studimet e fundit shkencore \u00ebsht\u00eb nj\u00eb p\u00ebrshkrim shum\u00eb i shkurt\u00ebr lidhur me anestezin\u00eb dhe vdekshm\u00ebris\u00eb.<\/p>\n\n\n\n
….<\/p>\n\n\n\n
Vet\u00ebm sot nj\u00eb f\u00ebmij\u00eb 3 vje\u00e7 humbi jet\u00ebn prej anestezis\u00eb n\u00eb nj\u00eb nd\u00ebrhyrje n\u00eb lidhje me kujdesin dental.<\/p>\n\n\n\n
Familjar\u00ebt d\u00ebshmojn\u00eb q\u00eb f\u00ebmija ka hyr\u00eb n\u00eb sall\u00eb n\u00eb or\u00ebt e para t\u00eb m\u00ebngjesit dhe ka p\u00ebrfunduar nd\u00ebrhyrjen n\u00eb or\u00ebn 19 : 00 t\u00eb mbr\u00ebmjes.<\/p>\n\n\n\n
Pyetjet jan\u00eb t\u00eb shumta por vet\u00ebm disa na mjaftojn\u00eb t\u00eb kuptojm\u00eb m\u00eb shum\u00eb rreth ngjarjes:<\/p>\n\n\n\n
A jan\u00eb zbatuar protokollet mjek\u00ebsore lidhur me nj\u00eb intervent t\u00eb till\u00eb?<\/p>\n\n\n\n
A ishte testuar f\u00ebmija p\u00ebr s\u00ebmundje egzistuese ?<\/p>\n\n\n\n
A kishte mjek anestezist gjat\u00eb gjith\u00eb inteventit n\u00eb sall\u00eb?<\/p>\n\n\n\n
A kishte medikamentet dhe pajisjet e posa\u00e7me p\u00ebr nj\u00eb nd\u00ebrhyrje operatore, post operatore dhe n\u00eb rastet e problemeve q\u00eb mund t\u00eb haseshin gjat\u00eb pro\u00e7edur\u00ebs?<\/p>\n\n\n\n
K\u00ebto pyetje dhe shum\u00eb t\u00eb tjera kan\u00eb p\u00ebr t\u00eb trazuar shpirtin e vog\u00eblushit dhe t\u00eb prind\u00ebrve q\u00eb sot nuk e kan\u00eb m\u00eb pran\u00eb \u00ebngj\u00ebllin e tyre.<\/p>\n\n\n\n
Prehu n\u00eb paqe xhan!<\/p>\n\n\n\n
Qofsh mes \u00ebngj\u00ebjve!<\/p>\n\n\n\n
\u270d\ufe0f Vitabiolink<\/p>\n","protected":false},"excerpt":{"rendered":"
NGA JETA KASO, BIO KIMISTE, LABORANTE MJEK\u00cbSORE, VITA BIO LINKNuk ka konsensus n\u00eb literatur\u00eb n\u00eb lidhje me p\u00ebrkufizimin e vdekshm\u00ebris\u00eb s\u00eb lidhur me anestezin\u00eb. Atribuimi i vdekjes prej anestezis\u00eb \u00ebsht\u00eb i v\u00ebshtir\u00eb dhe shpesh mb\u00ebshtetet n\u00eb interpretimin subjektiv t\u00eb p\u00ebrkufizimeve t\u00eb ndryshme.\u00a0\u00a0Regjistri i arrestit kardiak perioperativ pediatrik t\u00eb Amerik\u00ebs s\u00eb Veriut (POCA) e klasifikon arrestin […]<\/p>\n","protected":false},"author":5,"featured_media":30379,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[3763],"class_list":["post-30378","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktualitet","tag-vita-biolink"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/30378","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=30378"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/30378\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/30379"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=30378"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=30378"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=30378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}